A nurse is attempting to insert a needle to obtain a blood specimen from a 4-year-old, but the child, who is being held by her mother, is kicking, screaming, and flailing her arms about.Which nursing diagnosis related to this patient is the most critical?
A)Anxiety and fear related to venipuncture
B)Risk for injury, bleeding, hematoma, or infection related to venipuncture
C)Pain related to venipuncture
D)Risk for impaired skin integrity

Question

Quizplus · Accepted Answer

The most critical nursing diagnosis in this situation is the risk for injury, bleeding, hematoma, or infection related to venipuncture. The child's active resistance increases the risk for unintentional injury that the nurse must prevent. It is essential to explore strategies to minimize the risk of injury and ensure a safe venipuncture procedure. Although anxiety, fear, and pain are common in venipuncture procedures, they are not the most critical in this scenario. The risk for impaired skin integrity is also not the most critical nursing diagnosis.

A Nurse Is Attempting to Insert a Needle to Obtain